Pharmacy Services Coordinator
3 days ago
The Pharmacy Services team plays a vital role in providing exceptional customer service to external customers and internal team members. As a key member of this team, you will be responsible for resolving pharmacy benefit coverage issues, communicating drug formulary guidelines, and researching administrative review and consumer affairs issues.
Key Responsibilities:- Coordinate and implement procedures for the drug prior authorization program for the outpatient Pharmacy Benefit.
- Communicate with physicians, medical management, and other team members to resolve prior authorization requests efficiently.
- Provide formulary alternatives and communicate prior authorization criteria to ensure accurate and efficient resolution of pharmacy benefit coverage issues.
- Interface with physicians, pharmacists, patients, and other team members in a professional and courteous manner during the prior authorization process.
- Assist pharmacists with drug utilization review programs and other assigned projects.
- Communicate prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to various stakeholders.
- Assist in research and resolution of physician inquiries and grievances.
- Currently in training or recently completed training with a focus on pharmacy services.
- 2-4 years' experience in a related field.
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Pharmacy Services Coordinator
4 days ago
Rancho Cordova, California, United States TALENT Software Services Full timeJob Summary:The Pharmacy Services team at Talent Software Services is seeking a highly skilled and detail-oriented individual to join our team as a Pharmacy Services Coordinator. In this role, you will be responsible for providing efficient and accurate responses to external customers and internal team members, resolving outpatient pharmacy benefit coverage...
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Pharmacy Services Coordinator
6 hours ago
Rancho Cordova, California, United States Talent Software Services Full timeJob Summary:The Pharmacy Services team at Talent Software Services is seeking a skilled professional to provide efficient and accurate responses to external customers and internal team members. As a Pharmacy Services Coordinator, you will play a critical role in resolving outpatient pharmacy benefit coverage issues, communicating drug formulary guidelines,...
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Pharmacy Services Coordinator
2 weeks ago
Rancho Cordova, California, United States TALENT Software Services Full timeJob Summary:The Pharmacy Services team at Talent Software Services is responsible for providing efficient and accurate responses to external customers and internal team members. The ideal candidate will be responsible for resolving outpatient pharmacy benefit coverage issues, communicating drug formulary guidelines, and researching administrative review and...
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Pharmacy Services Coordinator
3 days ago
Rancho Cordova, California, United States Talent Software Services Full timeJob Description:The Pharmacy Services team plays a vital role in providing exceptional support to our customers and internal stakeholders. As a key member of this team, you will be responsible for resolving complex pharmacy benefit coverage issues, communicating drug formulary guidelines, and providing accurate and efficient responses to customer...
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Pharmacy Operations Coordinator
2 weeks ago
Rancho Cordova, California, United States Wollborg Michelson Recruiting Full timeJob OverviewWe are seeking a highly skilled Pharmacy Technician to join our team at Wollborg Michelson Recruiting. This is a remote opportunity based out of our California office.Key Responsibilities:• Review prior authorization requests from medical offices and pharmacies via fax or electronic portal.• Make outbound calls to medical professionals and...
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Pharmacy Business Consultant
3 weeks ago
Rancho Cordova, California, United States Blue Shield of California Full timeYour Role The Clinical Pharmacy Operations division is dedicated to the formulation, execution, coordination, and evaluation of pharmacy strategies aimed at delivering high-quality and cost-effective care to members of Blue Shield of California. The Experienced Business Analyst will report directly to the Senior Pharmacist Manager within the Clinical...
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Pharmacy Operations Analyst
4 weeks ago
Rancho Cordova, California, United States Blue Shield of California Full timeYour Role The Clinical Pharmacy Operations team is dedicated to the creation, execution, coordination, and evaluation of pharmacy initiatives aimed at delivering high-quality and cost-effective care to members of Blue Shield of California. The Experienced Business Analyst will work under the guidance of the Senior Pharmacist Manager within the Clinical...
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Pharmacy Technician
4 days ago
Rancho Cordova, California, United States Dignity Health Medical Group Full timeJob SummaryWe are seeking a highly skilled Pharmacy Technician to join our team at Dignity Health Medical Foundation. As a Pharmacy Technician, you will play a vital role in ensuring the smooth operation of our pharmacy services, working closely with our healthcare professionals to provide exceptional patient care.Key ResponsibilitiesProcess medication...
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Pharmacy Technician Specialist
3 weeks ago
Rancho Cordova, California, United States Wollborg Michelson Recruiting Full timeJob OverviewWe are seeking a highly skilled Pharmacy Technician to join our team at Wollborg Michelson Recruiting. This is a remote opportunity based out of our California office.Key Responsibilities:• Review prior authorization requests from medical offices and pharmacies via fax or electronic portal.• Make outbound calls to medical professionals and...
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Pharmacy Support Professional
3 weeks ago
Rancho Cordova, California, United States Wollborg Michelson Recruiting Full timeJob OverviewWe are seeking a highly skilled Pharmacy Technician to join our team at Wollborg Michelson Recruiting. This is a remote opportunity based out of our California office.Key Responsibilities:Review and process prior authorization requests from medical offices and pharmacies via fax or electronic means.Make outbound calls to medical professionals and...
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Pharmacy eFill Specialist
3 weeks ago
Rancho Cordova, California, United States Dignity Health Medical Group Full timeJob Title: Pharmacy eFill SpecialistCompany: Dignity Health Medical GroupOverview:This position offers the opportunity to work from home in a remote setting for individuals with a valid CA Pharmacy Tech certification. Dignity Health Medical Group, a nonprofit organization established in 1993, is dedicated to providing comprehensive health care services in...
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Clinical Services Coordinator, Intermediate
2 weeks ago
Rancho Cordova, California, United States Blue Shield of California Full timeAbout the RoleThe Clinical Services Coordinator, Intermediate, plays a vital role in ensuring the efficient and accurate response to external customers and internal team members for all outpatient pharmacy benefit inquiries.Key ResponsibilitiesAssist with data entry, outbound calls, and report management to support the Clinical Services Coordinator team.Run,...
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Service Coordinator
11 hours ago
Rancho Cordova, California, United States Johnson Controls International Full timeAbout the RoleWe are seeking a highly skilled Service Coordinator to join our team at Johnson Controls International. As a key member of our fire domain service business, you will play a critical role in supporting our customers and driving business growth.Key ResponsibilitiesSupport the fire domain service business by coordinating with other service support...
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Regional Pharmacist
4 days ago
Rancho Cordova, California, United States Rite Aid Full timeJob SummaryThe primary purpose of this position is to assist customers with their healthcare needs and maximize health outcomes by filling prescriptions, providing clinical services, advising on therapies, and delivering excellent customer service.Key ResponsibilitiesEngage customers seeking guidance on pharmacological and non-pharmacological options for...
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Regional Pharmacist
1 day ago
Rancho Cordova, California, United States Rite Aid Full timeJob SummaryThe primary purpose of this position is to assist customers with their healthcare needs and maximize health outcomes by filling prescriptions, providing clinical services, advising on therapies, and providing excellent customer service. The incumbent will also supervise pharmacy associates and perform tasks in a safe manner consistent with Rite...
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Service Coordinator
5 days ago
Rancho Cordova, California, United States Johnson Controls International Full timeJob DescriptionAbout the RoleWe are seeking a highly organized and detail-oriented Service Coordinator to support our fire domain service business. As a key member of our service support team, you will play a critical role in ensuring the smooth operation of our sprinkler service department.Key ResponsibilitiesRun a weekly Open Call Report for the sprinkler...
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In-House Recovery Coordinator
2 weeks ago
Rancho Cordova, California, United States DCI Donor Services Full timeAbout DCI Donor ServicesDCI Donor Services is a leading organ procurement organization (OPO) dedicated to saving lives through organ and tissue donation. With a strong commitment to diversity, equity, and inclusion, we strive to create a welcoming and safe environment for all communities.Job SummaryWe are seeking a highly skilled and compassionate In-House...
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Pharmaceutical Manager
3 days ago
Rancho Cordova, California, United States Blue Shield of CA Full timeAbout the RoleThe Pharmacy team at Blue Shield of CA provides pharmacy benefit management services and strategies to support affordability and membership goals. As the Sr. Manager, Pharmacy Accounts and Sales Support, you will report to the Director, Pharmacy Services and support pharmacy membership growth and retention strategies and initiatives.Your...
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Pharmacist Consultant
3 days ago
Rancho Cordova, California, United States Blue Shield Of California Full timeJob SummaryWe are seeking a highly skilled Pharmacist, Consultant to join our team at Blue Shield of California. As a key member of our Pharmacy Services department, you will play a critical role in ensuring the quality and integrity of our prior authorization and drug utilization review programs.Key ResponsibilitiesDesign, develop, and maintain audit...
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Financial Project Coordinator
4 weeks ago
Rancho Cordova, California, United States Kya Services, LLC Full timePosition Overview - The Project Accountant plays a crucial role in overseeing the financial dimensions of designated projects, ensuring precise financial reporting, budgeting, and adherence to applicable regulations. This position necessitates close cooperation with project leaders, the accounting department, and various stakeholders to facilitate effective...